Fundación Jiménez Díaz, Madrid, Spain.
Fundación Jiménez Díaz, Madrid, Spain.
Arch Soc Esp Oftalmol (Engl Ed). 2021 Aug;96(8):442-445. doi: 10.1016/j.oftale.2020.08.003. Epub 2021 Jul 16.
We describe a case report of a spontaneous suprachoroidal hemorrhage, in which the enhanced depth imaging optical coherence tomography (OCT-EDI) is extremely useful in establish the differential diagnosis with a choroidal tumor. A 70 year-old woman was referred with a central scotoma after a Valsalva maneuver. In the posterior pole we observed a grey bilobed subretinal mass with the appearance of a choroidal tumor. OCT-EDI revealed an optically dark region with a scalloped anterior tumor contour and subretinal fluid, the choroicapillaris appeared to be intact and displaced anteriorly. The diagnosis was a suprachoroidal hemorrhage and it resolved in 12 weeks. Spontaneous suprachoroidal hemorrhage is a rare condition and it can resemble choroidal tumor. OCT-EDI is a very valuable tool in the differentiation of hemorrhage from tumors.
我们描述了一例自发性脉络膜上腔出血病例报告，其中增强深度成像光学相干断层扫描（EDI-OCT）在建立与脉络膜肿瘤的鉴别诊断方面非常有用。一位 70 岁女性在瓦尔萨尔瓦动作后出现中央暗点而被转诊。在眼后极部观察到一个具有脉络膜肿瘤外观的灰分叶状视网膜下肿块。EDI-OCT 显示一个暗区，具有锯齿状的前肿瘤轮廓和视网膜下液，脉络膜毛细血管似乎完整并向前移位。诊断为脉络膜上腔出血，12 周后自行消退。自发性脉络膜上腔出血是一种罕见的疾病，它可能类似于脉络膜肿瘤。EDI-OCT 是区分出血与肿瘤的非常有价值的工具。
